Name *

First Name

Last Name

Phone

(###)

###

####

Does anyone in your family have allergies?

Yes

No

Are you looking for a therapy or assistance dog? *

Yes, a therapy dog

Yes, an assistance dog

No

Do you have a fenced garden? *

Yes

No

Are you willing to consider feeding your dog a raw diet? (including prepared frozen raw) *

Yes

No

Unsure/need more information

Which colours would you be willing to accept.

Please note that we prefer to match families to puppies based on personality. Specific colour requests cannot always be accommodated and may result in a much longer wait time.

I would accept any colour

White

Red

Black

Parti/white markings

Chocolate

Parchment

Caramel

Do you prefer a male or female?

Male

Female

Either

What size are you looking for?

Mini (7-12kg, up to 43cm)

Medium (12-18kg, up to 50cm)

Big medium (18-22kg, up to 55cm)

Standard (22kg +, 55cm +)

Are you interested in being a guardian home for a puppy that might have a litter in the future?

Yes

No

I would like more information